The economic impact of chronic pain in adolescence: Methodological considerations and a preliminary costs-of-illness study
Abstract
Chronic pain in adulthood is one of the most costly conditions in modern western society. However, very little is known about the costs of chronic pain in adolescence. This preliminary study explored methods for collecting economic-related data for this population and estimated the cost-of-illness of adolescent chronic pain in the United Kingdom. The client service receipt inventory was specifically adapted for use with parents of adolescent chronic pain patients to collect economic-related data (CSRI-Pain). This method was compared and discussed in relation to other widely used methods. The CSRI-Pain was sent to 52 families of adolescents with chronic pain to complete as a self-report retrospective questionnaire. These data were linked with unit costs to estimate the total care cost package for each family. The economic impact of adolescent chronic pain was found to be high. The mean cost per adolescent experiencing chronic pain was approximately 8,000 pounds per year, including direct and indirect costs. The adolescents attending a specialised pain management unit, who had predominantly non-inflammatory pain, accrued significantly higher costs, than those attending rheumatology outpatient clinics, who had mostly inflammatory diagnoses. Extrapolating the mean total cost to estimated UK prevalence data of adolescent chronic pain demonstrates a cost-of-illness to UK society of approximately 3,840 million pounds in one year. The implications of the study are discussed.
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The CSRI has been used widely in research examining the cost of chronic pain.
“The Client Services Receipt Inventory (CSRI)65 has been used widely in research examining the cost of chronic pain18 66 67”
From Investigating the effectiveness of an online acceptance and commitment therapy (ACT) intervention versus a waiting list control condition on pain interference and quality of life in adults with chronic pain and multimorbidity: Protocol for a randomised controlled trial (2019) · cites this paper as [67]
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- Authors
- Sleed, M., Eccleston, C., Beecham, J., Knapp, M., & Jordan, A.
- Affiliations
- Royal National Hospital for Rheumatic Diseases (GB)
- Venue
- Pain
- Published
- 2005-12
- Volume
- 119
- Issue
- 1-3
- Pages
- 183-190
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2049533678
- Cited by
- 244
- References
- 27
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 10 · 2023: 8 · 2022: 7 · 2021: 15 · 2020: 8 · 2019: 13 · 2018: 18 · 2017: 10 · 2016: 21 · 2015: 17 · 2014: 11 · 2013: 15 · 2012: 13
- FWCI
- 9.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Research Space (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- adolescent chronic pain, economic burden, economic burden of pain, care costs, direct and indirect costs, non-inflammatory pain, inflammatory pain, rheumatology outpatient care, United Kingdom
- MeSH terms
- Adolescent, Chronic Disease, Female, United Kingdom, Humans, Male, Pain, Pain Measurement, Pilot Projects, Surveys and Questionnaires, Adolescent Health Services, Health Care Costs, Cost of Illness, Pain Management
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